| This form is to be used by graduate matriculated students only. Please
complete this form and obtain the appropriate signatures before it is returned to the
Registrars Office, room 217 HAN. This form is not an
authorization for an official withdrawal of courses in progress. When you wish to resume
your graduate studies, you must file a readmission application with the
Admissions Office. |
| Please Note: A leave of absence for a specific period may be
approved upon application to and approval of the Graduate Advisor and Divisional Dean.
Sick
leaves of absence are approved only for reasons documented disabling illness, maternity,
military service, or other unusual circumstances. Leaves of absence extend the time limit
allowed for your curriculum. The total time limit for completing all degree requirements
is 4 years. Programs in Education, Nursing, Health Sciences, and Social Work the time
limit is 5 years. |
| ***Leaves of absence may be approved for a maximum of 2 semesters.
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| Name: __________________________________________________________________________ |
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First
Middle
Maiden or Other |
| Address:_________________________________________________________________________ |
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Number and Street
Apt # City
State
Zip Code |
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